Endoscopic management of posterior epistaxis: a review
نویسندگان
چکیده
The paradigm for the management of epistaxis, specifically posterior epistaxis, has undergone significant changes in the recent past. Recent prospective and retrospective data has shown that the endonasal surgical management of posterior epistaxis is superior to posterior nasal packing and angiography/embolization with regards to various factors including pain, cost-effectiveness, risk and overall control of bleeding. Endonasal endoscopic surgical techniques for posterior epistaxis include direct cauterization and transnasal endoscopic sphenopalatine/ posterior nasal artery ligation or cauterization with or without control of the anterior ethmoidal artery. Despite the evidence provided by the current literature, a universal treatment protocol has not yet been established. This review article provides an up-to-date assessment of the available literature, and presents a structured paradigm for the management of posterior epistaxis.
منابع مشابه
Endoscopic Cauterization of the Sphenopalatine Artery to Control Severe and Recurrent Posterior Epistaxis
Introduction: Epistaxis is one of the most common medical emergencies, making the management of posterior epistaxis a challenging problem for the ear, nose, and throat (ENT) surgeon. In the cases of conservative management failure, ligation of the major arteries or percutaneous embolization of the maxillary artery is performed routinely in most units, but rates of failure and complications are ...
متن کاملManaging epistaxis
Epistaxis is a common clinical condition treated by otolaryngologists. Use of a laser or cautery with endoscopy can be helpful for refractory anterior epistaxis. For posterior epistaxis, we review the current literature on the e ectiveness of traditional posterior packing, selective endoscopic point coagulation, endoscopic sphenopalatine artery ligation, and neurointerventional embolization. Al...
متن کاملEndoscopic Cauterization of the Sphenopalatine Artery to Control Severe and Recurrent Posterior Epistaxis
INTRODUCTION Epistaxis is one of the most common medical emergencies, making the management of posterior epistaxis a challenging problem for the ear, nose, and throat (ENT) surgeon. In the cases of conservative management failure, ligation of the major arteries or percutaneous embolization of the maxillary artery is performed routinely in most units, but rates of failure and complications are h...
متن کاملRefractory Epistaxis: Role of Endoscopic Cauterisation of Sphenopalatine Artery
Epistaxis is defined as bleeding from the nose. It is one of the most common rhinological emergencies, making the management of posterior epistaxis a challenging problem for ENT surgeons. Conventional management options in form of chemical cauterisation, anterior nasal packing and posterior nasal packing, are not so much effective and satisfactory. Objective: The objective of this study was to ...
متن کاملEndoscopic Cauterization of Sphenopalatine Artery in Posterior Epistaxis - Our Experience
Introduction Epistaxis is one of the commonest emergencies in Otorhinolaryngology. The management of intractable posterior epistaxis sometime becomes challenging to ENT surgeons. Over the last decade endoscopic cauterization of sphenopalatine artery has emerged as a viable and minimally invasive alternative. Materials and Methods Thirty four patients with intractable posterior epistaxis were tr...
متن کامل